Provider Demographics
NPI:1578136271
Name:MAURAS, DAAIYAH (LMFTA)
Entity Type:Individual
Prefix:MRS
First Name:DAAIYAH
Middle Name:
Last Name:MAURAS
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 MOSS CIR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-2616
Mailing Address - Country:US
Mailing Address - Phone:803-466-7317
Mailing Address - Fax:
Practice Address - Street 1:902 MOSS CIR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-2616
Practice Address - Country:US
Practice Address - Phone:512-920-3362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204137106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist